Shanina C Knighton1, Mary Dolansky2, Curtis Donskey3, Camille Warner4, Herleen Rai5, Patricia A Higgins6. 1. Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH; Cleveland VA Quality Scholars, Louis Stokes Veterans Affairs Medical Center, Cleveland, OH. Electronic address: scknightonresearch@gmail.com. 2. Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH; Cleveland VA Quality Scholars, Louis Stokes Veterans Affairs Medical Center, Cleveland, OH. 3. Department of Infection Prevention & Control, Louis Stokes Veterans Affairs Medical Center, Cleveland, OH; Geriatric Research, Education, and Clinical Center, Louis Stokes Veterans Affairs Medical Center, Cleveland, OH. 4. Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH. 5. Department of Pathology, University Hospitals of Cleveland Medical Center, Cleveland, OH. 6. Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH; Geriatric Research, Education, and Clinical Center, Louis Stokes Veterans Affairs Medical Center, Cleveland, OH.
Abstract
BACKGROUND: We hypothesized that the addition of a novel verbal electronic audio reminder to an educational patient hand hygiene bundle would increase performance of self-managed patient hand hygiene. METHODS: We conducted a 2-group comparative effectiveness study randomly assigning participants to patient hand hygiene bundle 1 (n = 41), which included a video, a handout, and a personalized verbal electronic audio reminder (EAR) that prompted hand cleansing at 3 meal times, or patient hand hygiene bundle 2 (n = 34), which included the identical video and handout, but not the EAR. The primary outcome was alcohol-based hand sanitizer use based on weighing bottles of hand sanitizer. RESULTS: Participants that received the EAR averaged significantly more use of hand sanitizer product over the 3 days of the study (mean ± SD, 29.97 ± 17.13 g) than participants with no EAR (mean ± SD, 10.88 ± 9.27 g; t73 = 5.822; P ≤ .001). CONCLUSIONS: The addition of a novel verbal EAR to a patient hand hygiene bundle resulted in a significant increase in patient hand hygiene performance. Our results suggest that simple audio technology can be used to improve patient self-management of hand hygiene. Future research is needed to determine if the technology can be used to promote other healthy behaviors, reduce infections, and improve patient-centered care without increasing the workload of health care workers. Published by Elsevier Inc.
RCT Entities:
BACKGROUND: We hypothesized that the addition of a novel verbal electronic audio reminder to an educational patient hand hygiene bundle would increase performance of self-managed patient hand hygiene. METHODS: We conducted a 2-group comparative effectiveness study randomly assigning participants to patient hand hygiene bundle 1 (n = 41), which included a video, a handout, and a personalized verbal electronic audio reminder (EAR) that prompted hand cleansing at 3 meal times, or patient hand hygiene bundle 2 (n = 34), which included the identical video and handout, but not the EAR. The primary outcome was alcohol-based hand sanitizer use based on weighing bottles of hand sanitizer. RESULTS:Participants that received the EAR averaged significantly more use of hand sanitizer product over the 3 days of the study (mean ± SD, 29.97 ± 17.13 g) than participants with no EAR (mean ± SD, 10.88 ± 9.27 g; t73 = 5.822; P ≤ .001). CONCLUSIONS: The addition of a novel verbal EAR to a patient hand hygiene bundle resulted in a significant increase in patient hand hygiene performance. Our results suggest that simple audio technology can be used to improve patient self-management of hand hygiene. Future research is needed to determine if the technology can be used to promote other healthy behaviors, reduce infections, and improve patient-centered care without increasing the workload of health care workers. Published by Elsevier Inc.
Entities:
Keywords:
Patient hand hygiene; behavior change; reminders
Authors: Shanina C Knighton; Marian Richmond; Trina Zabarsky; Mary Dolansky; Herleen Rai; Curtis J Donskey Journal: Am J Infect Control Date: 2019-10-29 Impact factor: 2.918